Organization
MINDFUL MEDICINE LLC
Active
Organization
MINDFUL MEDICINE LLC
Active
Other names
Sanctuary Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY DAVID PESKIN MD (CEO/ MEDICAL DIRECTOR)
(216) 973-2844
Entity
Organization
Contact information
Practice address
7000 W PALMETTO PARK RD STE 406, BOCA RATON, FL 33433-3425
(844) 986-4325
Mailing address
7000 W PALMETTO PARK RD STE 406, BOCA RATON, FL 33433-3425
(844) 986-4325
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/06/2021
Last updated
12/12/2022
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